HomeMy WebLinkAbout1803 W 15th Street - Building ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number 17-00000952 Date 7/11/17
Application pin number . . 785704
Property Address 1803 W 15TH ST REPORT STATE SALES TAX "
ASSESSOR PARCEL NUMBER: ' 06-30-00-0-4-0595-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name . . . . . to the City of Port Angeles
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . • 0
Application desc
Temp power
Owner Contractor
AUTUMN MARIE CLARK SEQUIN VALLEY ELECTRIC
1803 W 15TH ST 11 LONE EAGLE LANE
PORT ANGELES WA 98363 SEQUIN WA 98382
(360) 681-3330
Permit ELECTRICAL TEMPORARY SERVICE
Additional desc .
Permit Pee . . . 93.00 Plan Check Fee . . .00
Issue Date . . 7/11/17 Valuation . . . 0
Expiration Date . . 1/07/18
Qty Unit Charge Per Extension •
1.00 93.0000 BCH EL-TEMP SRV 0-200 SRV FDR 93.00
Fee summary Charged Paid Credited Due
i
Permit Fee Total. 93.00 93.00' .00 .00
Plan Check Total .00 .00 .00 .00 •
Grand Total 93.00 93.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
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SERVICE hili Aj
Vq)
ROUGH-IN -
FINAL 1./i1/11
4047 1)A7
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
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Signature of owner or Electrical Contractor X Date:
�p°"r ELECTRICAL INSPECTION
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,��t WIRING REPORT
,ifrows� 417-4735
DATE:
111121 , ' I m1-4`V`17 •r9rJ l7. INSPEC
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CONTRACTOR
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ADDRESS
1E03 ;i i\ ) I$2'.51 )SZ7
APPROVED NOT APP 2U D
❑ DITCH 0
❑ ROUGH IN/COVER 0
❑ SERVICE
❑ FINAL ❑
CORRECTIONS NEEDED: • 0 • !
L.'-,iF- A,-- -, -7'YG1£.. 1 A4 r'T1)h1"1_
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NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
-DO NOT REMOVE--
CITY OF PORT ANGELES PERMIT APPLICATION ;', rioN,esto
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Building Division/Electrical Inspections r=
321 East Fifth Street- Port Angeles Washington,98362 ' - ,:,:: __}
Ph: (360)417-4735 Fax: (360)417-4711 i ,.;: ` 111.Vir
Date: 4/ i 1/ 1 _1 &2 Single Family Dwelling -.
* Plan Review MA6 p_eAequired, Ple Q m t; Electrical Plan Review Information Sheet
Job Address:
Building Square Footage:
Description of above .i ^/I n f)o6dE,
Owner Information Contractor Information
Name: P //U�v L�}� Aic J //fij Name:-.6) V,'r1 V"SLC€ ELSC.T. /C
Mailin Address: z C3 S £34 Mailing Address: // Lo'-' c`'4 C6 G N,
City: ANGELES State:tail' Zip: City: SES U//-r State: 414 Zip: g� c�
Phone:5152 76Z/ Fax: Phone:a rP/3'330 Fax: 6`x-3 44 OR
License#/Exp. License#/Exp. -5 R 62 U/ V.E go/ LL 3
Item Unit Charge Total Total(Qty Multiplied by Unit Charge)
Service/Feeder 200 Amp. $120.00 $
Service/Feeder 201-400 Amp. $146.00 $
Service/Feeder 401-600 Amp $205.00 $
Service/Feeder 601-1000 Amp. $262.00 $
Service/Feeder over 1000 Amp. $373.00 $
Branch Circuit W/Service Feed $ 5.00 $
Branch Circuit W/O Service Feeder $ 63.00 $
Each Additional Branch Circuit $ 5.00 $
Branch Circuits 1-4 Only $ 75.00 $
Temp.Service/Feeder 200 Amp. $ 93.00 / $ 93. .)o
Temp.Service/Feeder 201-400 Amp. $110.00 $
Temp.Service/Feeder 401-600 Amp. $149.00 $
Temp.Service/Feeder 601-1000 Amp . $168.00 $
Portal to Portal Hourly $ 96.00 $
Signal Circuit/Limited Energy-1 &2 Family Dwelling $ 64.00 $
Manufactured Home Connection $120.00 $
Renewable Electrical Energy-5KVA System or Less $102.00 $
Thermostat $ 56.00 $
Note:$5.00 for each additional T-Stat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft. $120.00 $
Each Additional 500 Square Ft.or Portion of $ 40.00 $
Each Outbuilding or Detached Garage $ 74.00 . $
Each Swimming Pool or Hot Tub $110.00 $
$ 9Y. °4--) Total
Owner as defined by RCW.19.28.261:(1)Owner will occupy the structure for two years after this electrical permit is finalized. (2)Owner is required
to hire an electrical contractor if above said property is for sale,rent or lease.Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making
the electrical installation or alteration in compliance with the electrical laws, N.E.C.,RCW. Chapter 19.28,WAC.Chapter 296-46B,The City of Port
Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of own electrical contractor or electrical administrator: Cl Cash 0 Check
Credit Card# 766-456 ?4GL /tee (O /''�Px l� Dated: 7r I' /Z 0/ 42(
0210612012 JON /7 0 c